Provider Demographics
NPI:1073972071
Name:ANTHONY PINADELLA, DMD, LLC
Entity Type:Organization
Organization Name:ANTHONY PINADELLA, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINADELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-594-1050
Mailing Address - Street 1:1149 BLOOMFIELD AVE
Mailing Address - Street 2:B1
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-2314
Mailing Address - Country:US
Mailing Address - Phone:973-594-1050
Mailing Address - Fax:973-594-1040
Practice Address - Street 1:1149 BLOOMFIELD AVE
Practice Address - Street 2:B1
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-2314
Practice Address - Country:US
Practice Address - Phone:973-594-1050
Practice Address - Fax:973-594-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI017810001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty